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<title>Untitled Document</title>
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<form action="" method="post">
	
    <table width="997" border="0">
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    <td width="226" scope="row">Số Hiệu: <input name="sohieu" type="text" size="13" /> <input name="btn_sumit_sohieu" type="button" value="Get" /></td>
    <td width="81" scope="row"><input type="checkbox" name="ghi_no" id="ghi_no" />
      <label for="ghi_no">Ghi Nợ</label></td>
    <td width="76"><input type="checkbox" name="su_vu" id="su_vu" />
      <label for="su_vu">Sự Vụ</label></td>
    <td width="88"><input type="checkbox" name="trung_tam" id="trung_tam" />
      <label for="trung_tam">Trung Tâm</label></td>
    <td width="100"> Loại BP: <select name="loaibp">
      <option value="1" selected="selected">EMS</option>
      <option value="2">Ghi Số</option>
      <option value="3">VE</option>
    </select></td>
  </tr>
</table>
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<br />
Thông tin bưu gửi:<br />
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  <tr>
    <th width="151" align="left" scope="row">Người gửi:</th>
    <td width="433">&nbsp;</td>
  </tr>
  <tr>
    <th align="left" scope="row">Địa chỉ gửi: </th>
    <td>&nbsp;</td>
  </tr>
</table>
<br />
<table width="600" border="0">
  <tr>
    <th width="151" align="left" scope="row">Người nhận:</th>
    <td width="433">&nbsp;</td>
  </tr>
  <tr>
    <th align="left" scope="row">Địa chỉ nhận: </th>
    <td>&nbsp;</td>
  </tr>
  
</table>
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<strong>Khối Lượng:</strong>
<table width="800" border="0">
  <tr>
    <td width="100" scope="row">Khối lượng</td>
    <td width="47"><input class="khungnho" name="khoi_luong" type="text" maxlength="5" /></td>
    <td width="90">Kích Thước</td>
    <td width="176"><input class="khungnho" type="text" name="dai" id="dai" />
      x
      <input class="khungnho" name="rong" type="text" />
      x
      <input class="khungnho" name="cao" type="text" /></td>
    <td width="109">KLQĐ: 
      <input class="khungnho" type="text" name="klqd" id="klqd" /></td>
    <td width="252"></td>
  </tr>
  <tr>
    <th height="22" scope="row">&nbsp;</th>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
</table>


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</form>


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